Mr David Allen Roberts, PA-C - Medicare Physician Assistant in Dyersburg, TN

Mr David Allen Roberts, PA-C is a medicare enrolled "Physician Assistant" in Dyersburg, Tennessee. He graduated from nursing school in 2007 and has 19 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Southeastern Emergency Physicians Llc, Delta Clinics Plc, Southeastern Emergency Physicians Llc, Emergency Coverage Llc, Southeastern Emergency Physicians Llc and his current practice location is 350 E Parkview St, Dyersburg, Tennessee. You can reach out to his office (for appointments etc.) via phone at (731) 334-5312.

Mr David Allen Roberts is licensed to practice in Tennessee (license number 1501) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1346363231.

Contact Information

Mr David Allen Roberts, PA-C
350 E Parkview St,
Dyersburg, TN 38024-3122
(731) 334-5312
Not Available

Map and Direction




Provider's Profile

Full NameMr David Allen Roberts
GenderMale
SpecialityPhysician Assistant
Experience19 Years
Location350 E Parkview St, Dyersburg, Tennessee
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr David Allen Roberts graduated from nursing school in 2007
  NPI Data:
  • NPI Number: 1346363231
  • Provider Enumeration Date: 04/07/2007
  • Last Update Date: 07/20/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3779674825
  • Enrollment ID: I20070803000542

Medical Identifiers

Medical identifiers for Mr David Allen Roberts such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346363231NPI-NPPES
T10005BMedicaidTN
1396033379OtherTNNPI
3665060MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 1501 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
West Tennessee Healthcare Dyersburg HospitalDyersburg, TNHospital
Jackson-madison County General HospitalJackson, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southeastern Emergency Physicians Llc2466364997776
Delta Clinics Plc519302299414
Southeastern Emergency Physicians Llc2466364997776
Emergency Coverage Llc3072412592761
Southeastern Emergency Physicians Llc2466364997776

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr David Allen Roberts allows following entities to bill medicare on his behalf.
Entity NameT M Carr MD PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992706097
PECOS PAC ID: 3375504913
Enrollment ID: O20041026000787
Entity NameSoutheastern Emergency Physicians LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356379382
PECOS PAC ID: 2466364997
Enrollment ID: O20050125000997
Entity NameEmergency Coverage LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427005008
PECOS PAC ID: 3072412592
Enrollment ID: O20050207000666
Entity NameEmergency Medical Care Facilities PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538345855
PECOS PAC ID: 6103837877
Enrollment ID: O20060509000565
Entity NameHardin Emergency Group LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972850477
PECOS PAC ID: 2769633148
Enrollment ID: O20121112000554
Entity NameDelta Clinics PLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396033379
PECOS PAC ID: 5193022994
Enrollment ID: O20160322001542
Entity NameLauderdale Community Hospital LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962034272
PECOS PAC ID: 9830505023
Enrollment ID: O20210422000338
Entity NamePerry County Community Hospital Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1528890480
PECOS PAC ID: 1850885351
Enrollment ID: O20251211002503

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr David Allen Roberts is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr David Allen Roberts, PA-C
17 Centre Plaza Dr,
Jackson, TN 38305-2862

Ph: (731) 512-0104
Mr David Allen Roberts, PA-C
350 E Parkview St,
Dyersburg, TN 38024-3122

Ph: (731) 334-5312

Reviews and Comments


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Janette Humpolick, PHYSICIAN ASSISTANT
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 509 Lake Rd, Dyersburg, TN 38024
Phone: 731-287-0804    Fax: 731-287-7373

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.